1Registration2Schedule of Events3Payment Method RegistrationName* First Last (Maiden Name) Program*DODPMDPTPAMSAMSBSMHAMPHGraduation Year Phone*Email* T-Shirt Size*XSSMLXLXXLAddressAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Guest InformationHow many guests will you be bringing?Please enter a number from 0 to 5.Registration fee (per person) Price: *This includes your own registration feeGuest registration feeTotal $0.00 Name First Last Name First Last Name First Last Name First Last Name First Last AccommodationsA hotel room block has been reserved at the Des Moines Marriott Downtown, 700 Grand Ave, Des Moines for $149 plus tax per night.Book your group rate for Des Moines University - Alumni Reunion, May 2022 Check here if you need help making a reservation through the DMU hotel block; a staff member will be in touch to help you.If not using the DMU hotel block, where will you be staying? Arrival Date MM slash DD slash YYYY Departure Date MM slash DD slash YYYY Special AccommodationsDo you require wheelchair accessibility? Yes No Do you have any dietary restrictions? Yes No Please describe: Schedule of EventsPlease select which events you will attend during Reunion.Wednesday, May 25 Registration & Welcome Reception Thursday, May 26 Breakfast Campus Tour Military Commissioning Ceremony Campus Lunch Bus Tour of Des Moines and New Campus Reunion Banquet & Awards Ceremony Friday, May 27 Breakfast Commencement Ceremony Bon Voyage Luncheon & Champagne Toast Payment InformationCredit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Δ Have questions? Please call the Development and Alumni Relations Office at 515-271-1463 with any questions or concerns.